Healthcare Provider Details

I. General information

NPI: 1245712546
Provider Name (Legal Business Name): CARY M ZINKIN DPM, PA
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/04/2018
Last Update Date: 09/04/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

135 S POMPANO PKWY
POMPANO BEACH FL
33069-3003
US

IV. Provider business mailing address

1300 CONCORD TER STE 210
SUNRISE FL
33323-2899
US

V. Phone/Fax

Practice location:
  • Phone: 954-974-8901
  • Fax: 954-970-5382
Mailing address:
  • Phone: 954-505-5000
  • Fax: 954-838-9660

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code213E00000X
TaxonomyPodiatrist
License NumberPO1849
License Number StateFL

VIII. Authorized Official

Name: DR. CARY ZINKIN
Title or Position: PRESIDENT
Credential: DPM
Phone: 954-974-8901